Green, Nicole D

Green, Nicole D is an individual health care provider with primary practice located at 827 N Pine St , Gramercy LA 70052-3659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Nicole D can be contacted via phone (225) 869-9200.

Contact Information

Primary practice address
827 N Pine St Gramercy LA 70052-3659
Phone: (225) 869-9200
Fax: (225) 869-9241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0611104 Louisiana

Profile Details

NPI number 1104105352
LBN Legal business name Green, Nicole D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Oct 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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